HomeMy WebLinkAboutX2019-4069 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I FX_ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
7" Bu,juing Grading [—Drainage F_ Elec F_ Mech IV&IU m Cu Yd Cut 177 Cu Yd Fill F
Project Address (Mog irnailing address) F,,' Flood F7: Firet, Landslide r7N/A Floor Suite No
5009 SEASHORE DROVE
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Description of Work
a
Us ConstTF
ype
NEW BLOCK WALLS PER CITY STANDARD
'1
tories 4 Units (if Res)
103 FEET LONG x 6 FEET HIGH 618 FEET
Valuation $
Material/Labor $8,916
New/Add SF N/A i Remodel SF N/A
Garage/New/Add N/A
OWNER'S NAME Last I SEASHORE LLC
First /o TOM NICHOLSON & BRIAN FLOOD
Owner's Address
Owner's E-mail Address
1 CORPORATE PLAZA
City BEACH State p 9�6K TelephoneL... -
F�7 Zip949813-5058
APPLICANT'S NAME Last HAMPTON
First CRAIG
Applicant's Address
Applicant's E-mail Address
5500 E. QUARTERSAWN STREET
craig@craigshampton.com
City BOISE State ID
Zip F873M Telephone 949-209-8883
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ARCHITECT/DESIGNER'S NAME Last HAMPTON First CRAIG Lic. No. N/A
Architect/Designer's Address
Architect/Designer's E-mail Address
5500 E. QUARTERSAWN STREET
raigshampton.com
City BOISE State ID
I
Zip F37T6 Telephone[ 949-209-8883
ENGINEER'S NAME Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City State
Zip Telephone
CONTRACTOR'S NAME/COMPANY
Lic. No. F Class F
Contractor's Address
Contractor's E-mail Address
......... ..
CityState
F
Zip F Telephone
SETBACKS REAR SETBACKS FRONT
PERMIT NO
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NJ xe_-)5, zo
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ U
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